<html>
	<body>
		<form>
            <div>
				<select title="Field 1">
					<option value="select1" selected>One</option>
					<option value="select2">Two</option>
					<option value="select3">Three</option>
                    <option value="select4">Four</option>
				</select>

                <input type="text" value="First" title="Foo" />
            </div>
            <div>
                <select title="Field 2">
                    <option value="select1">One</option>
                    <option value="select2" selected>Two</option>
                    <option value="select3">Three</option>
                    <option value="select4">Four</option>
                </select>

                <input type="text" value="Second" title="Foo" />
            </div>
		</form>
	</body>
</html>